HomeMy WebLinkAboutPermit Mechanical 1996-6-21
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COMMERCIAL/INDUSTRIAL '.
PERMIT APPLICATION
JOB NUMBER
50~,~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOS EO WORK:
TAX LOT:
ot!.2.Ck:J
OWNER:
ADDRESS:
~C~r?r./?/"'~ (,"'/~_u // ~~
/...J~~ ~V'~ ,k,
. STATE: 6-;;e
PHONE:
CITY'
/tbcrD
FUc
ZIP:JZ~r:
,
OESCRIPTlON OF WORK:
NEW t.---'" REMODEL
C>~'E. ~ 'Oa......,,__~~~ ~ '_'u ~
ADDITION DEMOLISH 01 HER". VALUE ~
NAME ADDRESS" PHONE ~.
ARCHITECT'
CONTRACTOR'S NAME
. f' ~
GENERAL: h<,~ f' ~/f?l'--'
? ~O i) ,(.k.ii4Gt!7 p)~"
ADORESS
CONST.
CONTRACTOR.
.4"'~2'7
~C:;. 5'~J
EXPIRES
j'7~(
PHONE
l~7'~
PLUMBING'
MECHANICAl'
ELECTRICAl'
. PLUMBING I I MECHANICAL f:EE_ICHAR~
NO, FEE CHARGE I 10 I
Single Fixture I I Furnace/ burner & vent
< 100.000 BTUs
Relocated Bldg. I I I Furnace/burner & venl I I
(new fix. addtll > 100,000 BTUs
Water Service I I I Floor furnace ami vent 1__..__ oou I
I fl.
Sanitary Sewer I I I - 'Suspended wall or floor I I
fl. mounted unit healer
Storm Sewer I I I Appliance Vent I I
ft. Sep<Hi\lC
I I I Stationaryevap. I I
Backflow Oevlce cooler
I I I Vent Fan/Single I I
duct
I I I Vent System aparl I I
from AC or hlg.
I I I Mechanical exhaust I I
hood and duct
I I 1 I I
I I I Permit Issuance SIO.OO I
TOTAL PERMIT 1 I TOTAL 'PERMIT I
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
OUAO AREA:
LAND USE:
. OF BLDGe.
. OF UNIT!>'
OCCY GROUP:
CONSTR. TYP-'
. OF STORIES:
HEAT SOURC-'
LIGHTING POWER BUDGET: ___
WATER HEATER:
SO. FT.
$/SO. FT.
VALUE
SO, FTG MAIN
x
SQ. FTG ACCESS
SQ, FTG OTH ER
Co hYh'~ j7'JK
X
Q-....-.:o?cX.c.,.~
./ ~
,fJ _<; ,)}
TOTAL VALUE OF PROJECT
t<f-~
PLAN CHECK F--
RCPTO
OATE
'BY
I BUILDING PERMIT
15% State 7 ../'
Surcharge' J +. rJ
I MECHANICAL
15% State
Surcharae
I PAVING
15 !r"
/. J,...:"
I PLUMBING
I' 5% State
Surcharoe
I FENCE
VAIIJE ~
I S"IDEWALK
I CURB CUT
DEMOLITION
..
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT.
FT.
'-.
, .,
~
- . \ . . I
. .' -
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
/~/_o
---.-'-.-..-
REQUIRED INSPECTIONS .~
It Is the responsibility of the permit holder to see that all Inspections are made at the ~roper time. To request an insp~ctlon. call
726.3769 (recorder), stale your City designated job number, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00 <.l.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made atter excavatlon, but
prior \0 setup of forms.
.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTlNGS,& FOUNDATIONS:
. To be made after trenches are
excavated and forms are
erected, all steet In place, but
prior to placing concrele.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessorles and other
ancillary equipment items are
in place but before any
concrete is placed.
UN'DERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location.
bond beams gruutlng or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
. AOOITIONAL COMMENTS'
...m._._ .ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No wo,k Is to
be covered until these
insp~ctions have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In acco'rdance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
_.on_ FIREPLACE: Prior to placing
facing materials and before
framing Inspec.tlon. '
onY .. FRAMING: T~ be m;de after.
-I'-~ roof, all framing, nre
blocking and bracing are In
place and all pipes, chImneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved,
STRUCTURAL CONCRETE: In
excess of 2500 PS,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering is
applied.
_..V FIRE & SEPARATION WALL:
7-~Located and constructed
according to plans.
SPRAYEO ON
FIREPROOFING: U.B.C,
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,11 &
Chapter 29)
LATH ANO/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
'Interior and exterior, Is in
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B,C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
SIDEWALK & DRIVEWAY:
Aequlred for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
.In addition to the Inspec.
tions specified, the Building
Official may make or require
other Inspections of any'
construction work to ensure
compliance with the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After forms are
erected but prIor to placing
concrete.
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot st,lping, etc. must be completed before
reQuestlng this InspectIon,
X FINAL BUILDING: Requested after the final plumbing, electrical,
/ 'mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Olvlslon
and posted on the premises.
PLANS REVIEWED BY
DAT~
By signature, I stfle and agree, that I have carefully examined the completed application and do hereby certify that atllnformation
herein is true and correct, and I further certify tt1at any and all work performed shall be done In accordance with the OrdInances
of the City of Springfield, and the Laws 01 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without pe,mission 01 the Building Safety Division. I further certify that only contractors and employees
who are in compliance with OAS 701.055 will be used on" this project.
i furttlor agree to ensure that all required inspections are requested at the proper tIme, that project address Is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
jlmeS <luring (')structlon. ~
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VALlOATION:
AMOUNT RECEIVEO: //..-? 2..,<)
22./ .,~
DATE PAlO:
RECEIVED BY:
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RECiOlPT N'